Individual provider Active NPI

Katerina Rafaela Dikefalos, LAPC, M.S.

  • Counselor
  • Johns Creek, GA
National Provider Identifier
1457223745
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC009284 Issued in GA
Practice address
2750 Old Alabama Rd Ste 200
Johns Creek, GA 30022-8553
Phone
(678) 893-5300
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC009284 GA Primary
Mental Health Counselor 101YM0800X APC009284 GA

Addresses

Primary practice location

2750 Old Alabama Rd Ste 200
Johns Creek, GA 30022-8553

Mailing address

2750 Old Alabama Rd Ste 200
Johns Creek, GA 30022-8553
Phone (678) 893-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC009284GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Summit Counseling Center, Inc. CurrentSince Sep 21, 2025 Accepting new patients

Locations

2750 Old Alabama Rd
Ste 200
Johns Creek, GA 30022
Phone (678) 336-3260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1457223745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228553",
            "telephone_number": "678-893-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228553",
            "telephone_number": "678-893-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKEFALOS",
        "first_name": "KATERINA",
        "middle_name": "RAFAELA",
        "credential": "LAPC, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC009284",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.